Organization
EAR SPECIALTY GROUP OF CONNECTICUT PC
Active
Organization
EAR SPECIALTY GROUP OF CONNECTICUT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HANNAH ROSTRON AUD (DIRECTOR OF OPERATIONS)
(860) 640-4455
Entity
Organization
Contact information
Practice address
40 STANFORD DR, FARMINGTON, CT 06032-2454
(860) 640-4455
(860) 640-4478
Mailing address
40 STANFORD DR, FARMINGTON, CT 06032-2454
(860) 640-4455
(860) 640-4478
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
—
—
231H00000X
Audiologist
—
—
Other
Enumeration date
09/05/2018
Last updated
11/02/2023
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